Transforming
Respiratory Care At Home

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Care Plan

  • Respiratory diseases

According to a report by the World Health Organisation (WHO), the deaths due to lung diseases in India were on the rise accounting for 11 per cent of the total deaths. As many as 142.09 in every one lakh, died of one form of lung disease or the other giving India the dubious distinction of ranking first in lung disease deaths in the world. Respiratory diseases like asthma, chronic obstructive pulmonary disease (COPD), Interstitial Lung Disease (ILD), pneumonia, tuberculosis (TB) are emerging as major health problems in the region.

Common respiratory diseases

Neuromuscular disease (NMD) is the umbrella name given for a variety of conditions, especially diseases that affect the functioning of muscles. The associated reason for the deterioration of muscle functioning could be due to the weakening of the muscles, or the muscle-controlling nerves. Neuromuscular disorders can be classified as rapidly progressing and slowly progressing NMD. In rapidly progressive disorders, muscle impairment occurs over months whereas it takes years for symptoms to become prominent in the case of slowly progressive disorder.
 

Respiratory failure is one of the most common causes of mortality among patients due to chronic NMD. It occurs as a result of the insufficient exchange of gasses by the respiratory system. In other words, the respiratory illness due to NMD leads to an imbalance of arterial oxygen and carbon dioxide levels in a patient's respiratory system. In some cases, NMD could also be linked to central sleep-disordered breathing, especially during rapid eye movement phase of the sleep.

What causes NMD?

NMD Causes - Environmental Chemical Exposures

Environmental chemical exposures
NMD Causes - Heavy Metal Poisoning

Heavy metal poisoning
NMD Causes - Autoimmune Disorders

Autoimmune disorders
Causes of NMD - Tumors

Tumors
Causes of NMD - Inflammatory Muscle Disorders

Inflammatory muscle disorders
Causes of NMD - Hereditary

Hereditary

What are the symptoms of NMD?

Coughing up mucus

Wheezing, difficulty in breathing & swallowing

Morning headaches

Anxiety, fatigue & sleepiness

Mood swings & trouble with concentration

How is NMD diagnosed?

A diagnosis by a doctor is conducted to look for respiratory failure symptoms due to NMD. It includes reviewing a patient's medical history, performing a physical exam, and subjecting the patient to tests.
NMD Diagnosis - Medical History
Medical history
Physical exam
NMD Diagnosis - Physical Exam
NMD Diagnosis - Blood Test
Blood test
Diagnosis of NMD - Chest X-Ray
Chest x-ray
Diagnosis of NMD - Electro-Cardiogram Test
electro-cardiogram (EKG) test

How is NMD diagnosed?

A diagnosis by a doctor is conducted to look for respiratory failure symptoms due to NMD. It includes reviewing a patient's medical history, performing a physical exam, and subjecting the patient to tests.
Medical history
Physical exam
Blood test
X-Ray
electro-cardiogram (EKG) test

How the NMD is treated?

The treatment for NMD and respiratory failure depends on the underlying cause and severity of the illness. An ideal treatment provided to NMD patients with respiratory failure is noninvasive ventilation (NIV). The NIV is a mask or a similar device that provides ventilator support through a patient’s mouth. Depending on the condition of a patient, other forms of treatments are prescribed such as:
 

  • Oxygen therapy
  • Tracheostomy
  • Ventilator support
  • Fluids through intravenous (IV)

How can Philips Homecare help you?


For patients suffering from respiratory failure due to NMD, pulmonary rehabilitation offers a comprehensive therapy plan to mitigate the symptoms, improve functions, & quality of life through education and exercises. A rehabilitation program may consist of aerobic exercise training such as walking & arm exercise, breathing exercises, respiratory muscle training, postural exercises, lower- & upper-body muscle strengthening exercises, etc. The rehabilitation program is known for its visible impact on NMD patients significantly improving their conditions & reducing hospital visits. The program may also include some services tailored to the specific needs of a patient & settings of the environment where the patient lives.